Individual
MS. ELIZABETH ANNE DESANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
2830 OAK ST, CONWAY, SC 29526-4560
(843) 365-3126
Mailing address
1973 MEADOWOOD LN, LONGS, SC 29568-6527
(843) 399-0339
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
2374
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2374
LISENCE
SC
Enumeration date
07/25/2006
Last updated
07/08/2007
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